Description
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For female patients experiencing:
- Irregular cycles
- Luteal phase defect
- Ablations
- PMS
- Mid-cycle spotting
- Migraines
- Vaginal dryness
- Brain fog
- Low libido
- Weight gain
- Fertility concerns
- Insomnia
- Chronic fatigue
- High-stress lifestyle
- Loss of resiliency
- Partial hysterectomy
- Trying to conceive (TTC)
- Mood swings that follow a cycle
- Month-long hormonal symptoms
- Mirena IUD (no menstrual bleeding due to IUD but still have hormonal symptoms)
- Polycystic ovary syndrome (PCOS)
- Depression or anxiety, especially on waking
- Fatigue or low energy, especially on waking
- Hot flashes or night sweats
This test combines the DUTCH Plus and DUTCH Cycle Mapping.
What is Cycle Mapping™ PLUS?
The DUTCH Cycle Mapping™ PLUS not only maps estrogen and progesterone through the monthly menstrual cycle, but also adds the comprehensiveness of all the hormone metabolites along with the cortisol awakening response (CAR).
Hormonal balance is key. Fluctuating levels of estradiol and progesterone play a major role in a woman’s overall health. This panel is designed for cycling women who struggle with ongoing symptoms such as monthly migraines, fertility issues, or PCOS. The addition of the cortisol awakening response (CAR), a transient, immediate rise in cortisol upon awakening (distinct from the diurnal rhythm), provides a fuller assessment of hormone fluctuations, baseline stress response, and reflects a patient’s ability to cope with anticipated challenges. CAR also shows a patient’s perception of control around chronic stress, providing insight into HPA resiliency.
DUTCH Cycle Mapping™ PLUS Instructions
DUTCH Cycle Mapping™ PLUS Sample Report
WHEN IS CYCLE MAPPING™ PLUS RECOMMENDED?
- Women struggling with infertility
- Women with cycling hormones and no menses
- Partial hysterectomy (ovaries intact but no uterus)
- Ablations
- Women with irregular cycles
- PCOS
- If the luteal phase shifts from month-to-month
- Not sure when to test due to long or short cycles
- Women whose hormonal symptoms tend to fluctuate throughout the cycle
- PMS, mid-cycle spotting, migraines, etc.
WHEN IS CYCLE MAPPING™ PLUS NOT NEEDED? (DUTCH COMPLETE™ IS SUFFICIENT)
- Postmenopausal women
- Women on birth control
- Women with cycles that follow the expected pattern
WHAT'S INCLUDED IN THIS KIT?
- Cycle Mapping™ PLUS
- Most Convenient Method for Month-Long Analysis
- EASY SAMPLE COLLECTIONS MAKE FOR BETTER TESTING
DUTCH Cycle Mapping™ PLUS uses more sample collections for mapping (first-morning urine collections) and performs testing on targeted samples based on the actual length of the cycle. In addition, one full day of four (4) urine and five (5) saliva samples are collected, providing the comprehensive hormone metabolite and cortisol awakening response (CAR) results.
WHAT CAN INCLUDING THE DUTCH PLUS® AND CAR TELL YOU?
Even though a patient may have “normal” free cortisol levels throughout the day, that does not always mean everything is functioning properly. The graph below shows two good examples. A blunted or exaggerated CAR can appear even when single samples return “normal” results. The HPA axis might not be appropriately responding when faced with a stressor, even when cortisol levels are fluctuating nicely throughout the day.
DO DRIED SAMPLES COMPROMISE THE ANALYSIS?
Dried samples are accurate for hormone testing, and values correlate to liquid samples (see graph, below).
When is Cycle Mapping + Plus recommended?
This test is recommended when you are looking for information about:
- Estrogen dominance
- Androgen dominance (including PCOS presentations)
- Preconception wellness
- Cortisol awakening response (CAR)
Another test is better suited when the patient:
- Is a postmenopausal female
- Is taking hormonal birth control
- Has predictable cycles
PATIENT COLLECTION SCHEDULE
The schedule on which a patient collects depends on the average length of their cycle. Additional instructions are included in the test kit to help them adjust the schedule according to their cycle. The final 4 urine and 5 - 6 saliva samples are to be collected in one day, on the fourth day of the second cycle OR day 33 if you are using the No Cycle Schedule.
FINAL SIX COLLECTIONS (DUTCH PLUS)
#1: Waking, Urine + Saliva - Collect saliva immediately upon waking, complete within 5 minutes, and set a timer for 30 minutes for Sample #2. Collect the first urine sample, do not lay awake in bed before collecting samples.
#2: +30 Minutes, Saliva - Collect saliva 30 minutes after waking, complete within 5 minutes, then set the timer for 30 minutes for Sample #3.
#3: +60 Minutes, Saliva - Collect saliva 60 minutes after waking, within 5 minutes. Avoid morning food, drink, and brushing your teeth until after this collection.
#4: 2–3 Hrs After Waking, Urine - Collect urine only, two - three hours after waking.
#5: 4–5pm, Urine + Saliva - Rinse your mouth with water 10 minutes prior to collecting saliva. Collect both urine and saliva between 4-5pm (before your evening meal).
#6: Bedtime Samples, Urine + Saliva - Rinse your mouth with water 10 minutes prior to collecting saliva. Collect both urine and saliva at bedtime, but no later than midnight.
#7: Optional Extra Sample, Saliva - If you struggle with staying asleep during the night, keep the collection tube close to your bed and collect at the time of sleep disturbance.
-See Satisfaction Policy
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NOT AVAILABLE FOR NEW YORK STATE ADDRESSES*
*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.
